Organization
FLORISSANT MEDICAL REHAB GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED SYED ALI MD (OWNER PARTNER)
(314) 736-1333
Entity
Organization
Contact information
Practice address
1025 DUNN RD, FLORISSANT, MO 63031-8205
(314) 736-1333
Mailing address
PO BOX 6441, CHESTERFIELD, MO 63006-6441
(314) 736-1333
(314) 736-1336
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841732898
—
IL
05
—
500040207
—
MO
01
—
7592400001
MEDICARE NSC
MO
Enumeration date
11/08/2016
Last updated
09/27/2025
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